中西医结合微创截骨治疗重度拇外翻疗效观察

发布时间：2018-06-18 09:55

本文选题：重度拇外翻 + 微创截骨　；参考：《中国中医基础医学杂志》2016年01期

【摘要】：目的:回顾性分析中西医结合微创截骨治疗重度拇外翻的临床疗效。方法:对2007年1月至2011年1月在我科采用微创截骨治疗的重度拇外翻患者进行随访,其中30例42足资料完整并获得10个月以上随访。患足均于术前、术后拍摄负重正、侧及前足横弓轴位X线片,并测量HAV角、IM角、胫侧籽骨位置TSP。手术前后采用AOFAS前足评分系统对治疗进行临床评估。结果:HAV角术前为(46.57±4.89)°,术后为(18.48±4.94)°;IM角术前(13.81±2.77)°,术后(7.60±2.55)°;胫侧籽骨位置术前为(6.57±0.67),术后为(4.17±0.73);术前AOFAS评分为(46.29±13.90)分,术后为(83.02±10.12)分,两者比较差异有统计学意义。结论:此手术方法治疗重度拇外翻创伤小、方法简单且疗效肯定。
[Abstract]:Objective: to retrospectively analyze the clinical effect of minimally invasive osteotomy combined with traditional Chinese and western medicine in the treatment of severe hallux valgus. Methods: the patients with severe hallux valgus treated by minimally invasive osteotomy from January 2007 to January 2011 were followed up. 30 cases (42 feet) were followed up for more than 10 months. All the affected feet were taken before and after operation. The axial radiographs of the transverse arch of the front foot and the lateral side of the foot were taken, and the angle of HAV and the position of seed bone in the tibial side were measured. AOFAS foreleg scoring system was used to evaluate the treatment before and after operation. Results the preoperative and postoperative AOFAS scores were 46.57 卤4.89 掳, 13.81 卤2.77 掳, 7.60 卤2.55 掳, 6.57 卤0.67 and 4.17 卤0.73, respectively. The AOFAS score was 46.29 卤13.90 before operation and 83.02 卤10.12 after operation. Conclusion: this method is simple and effective in the treatment of severe hallux valgus.
【作者单位】：北京大学光华管理学院;北京市西城区白纸坊社区卫生服务中心;中国中医科学院望京医院;北京市中西医结合医院;
【基金】：国家自然科学基金面上项目(81273984) 中国中医科学院优势病种项目(CACMS05Y0028)
【分类号】：R658.3

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